NPI | 1881684538 |
---|---|
Entity Type | Organization |
Authorized Contact | SPENCER WITCHER Owner 270-651-2181 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: KY 300060) |
Enumeration Date | 2005-10-25 |
Last Update Date | 2017-05-12 |